IPA/Medical Group Network Administration Manager

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Administration Manager at Alignment Health plays a pivotal role in planning and managing medical groups and Independent Practice Associations (IPAs) to facilitate growth. The position involves ensuring performance aligns with the overall objectives of the health plan and requires proficiency in marketing, provider CMS guidelines, and end-to-end understanding of these aspects. The Administration Manager will collaborate with Market General Managers, Finance teams, and Sales departments to prioritize and achieve monthly, quarterly, and annual objectives set by the President. Additionally, the role involves demonstrating excellent operational skills, effective communication, and proficiency in Microsoft Office.

General Duties / Responsibilities (may include but not limited to):

• Track performance to ensure alignment with the overall objectives of the health plan.
• Receive ongoing reporting from clinical or RAF teams gaps.
• Work with IPAs to develop, implement and monitor progress of remediation plans where performance requires improvement.
• Serve as the IPAs’ main point of contact on day to day activities and timely issue resolution.
• Attend external meetings with IPA leaders, as required. Document and follow up on action items that may arise from the meetings.
• Participate in and contribute to Joint Operating Committees (JOC), Joint Work Groups (JWG) and other collaborative meetings with the IPAs and key internal stakeholders.
• Demonstrate proficiency in marketing and provider CMS guidelines, with an end-to-end understanding of these aspects.
• Collaborate with Market General Managers, Finance teams, and Sales departments to prioritize and achieve monthly, quarterly, and annual objectives set by the President.
• Build strong relationships with assigned IPAs to drive collaboration and engagement.
  
  

Qualifications

• Strategic thinker with a strong understanding of healthcare management.
• Capable of influencing growth and performance in a dynamic environment.
• Ability to work cross-functionally with various teams.
• Demonstrate excellent operational skills, including effective communication and proficiency in Microsoft Office.
• Deep knowledge of CMS guidelines.
  
  

Minimum Requirements

• Bachelor's degree in healthcare administration, business, or related field; Master's degree preferred
• Proven experience in a management role
• Excellent understanding of CMS guidelines and regulations
• Strong leadership, presentation and interpersonal skills
• Position based in Stanislaus or San Joaquin counties preferred. Must be willing to travel in regions as needed.
  
  

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.

Pay Range: $91,651.00 - $137,477.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

• DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.